| NPI | 1104906429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 064659-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 064659-23) |
| 363L00000X Nurse Practitioner (Licence: MA 201113) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-10-06 |